Tactic of prognostication of adhesive process after time-urgen gynaecological operations

Abstract

The objective: study of dependence of expressed of adhesive process for gynaecological patients taking into account an amount and volume of previous operations. Materials and methods. For the decision of the put purpose inspected and conducted surgical treatment laparoscopic access for 304 patients which carried before operative interferences on the organs of abdominal region and small pelvis. All patients were up-diffused on 3 groups depending on an amount and character of the carried operations. a 1 group (n=159) was made by patients with one чревосечением in anamnesis after gynaecological operations. 2 a group (n=99) is women with two чревосечениями in anamnesis. Gynaecological, surgical interferences or their combinations took place in this group. Patients (n=46) which have in anamnesis 3 and more чревосечений (n=30), and also women (n=16) which carried operative interferences concerning the poured out festering peritonitis, entered in 3 groups, intestinal impassable and perforated gastric ulcers. Results. Operative interferences are carried by an important factor which results in formation of joints in to the small pelvis. Shown of спаечного process in small to the pelvis had straight proportional dependence on the amount of чревосечений. Among all patients which had in anamnesis a conservative myomectomy in combination with a caesarian section or hysterectomy, the adhesive process of organs of small pelvis appeared most expressed. Conclusion. The factors leading to formation of solderings in a small basin, the transferred operative interventions are. The risk of development and expressiveness of postoperative unions are in direct dependence on quantity laparotomy in the anamnesis. Forecasting the instructions on two and more gynecologic interventions, in a greater degree radical operations on a uterus are adverse. The received results are necessary for using by tactics working out laparocopical treatments of gynecologic patients.